| NPI | 1790320232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011264) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0011108) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2023-05-13 |